Trauma

Question 1

What does SCENE stand for?

Answer 1

Safety - perform risk assessment

Cause including MOI - establish the events leading to the incident

Environment - any environmental factors (i.e. Weather, temperature)

Number of Patients

Extra resources needed

Question 2

What does ATMIST stand for?

Answer 2

Age
Time of incident
Mechanism
Injuries
Signs and symptoms
Treatment given/ immediate needs

Question 3

What are the stages for Eyes opening scale of the Glasgow coma score

Answer 3

4- Spontaneously
3- To speech
2- To pain
1- None

Question 4

What is the different stages within the motor response section of the Glasgow coma score

Answer 4

6- Obeys Commands
5- Localises pain
4- Withdraws from pain
3- Abnormal flex ion
2- Extensor Response 
1- No Response to pain

Question 5

What is the different stages of the Verbal Response section of the Glasgow coma score?

Answer 5

5- Orientated
4- Confused
3- Inappropriate words
2- Incomprehensible sounds
1- No verbal response

Question 6

What are the physiological signs which require immediate transport to the nearest major trauma centre?

Answer 6

GCS <14 (Motor lower that “withdraws from pain”)
Systolic Blood Pressure <90mmHg

If airway and catastrophic haemorrhage can safely be managed and the MTC can be reached within 60 minutes.

Question 7

What are the anatomical signs which require immediate transport to a major trauma centre?

Answer 7

Penetrating injury
Chest injury with altered physiology 
Two proximal long bone fracture
Crushed, mangled or Degloved extremity 
Amputation (proximal to wrist/ankle)
Pelvic fracture
Open or depressed skull fracture
Sensory or motor deficit